Can a 10-Day antifungal course beat the standard 14 days?

NCT ID NCT07788586

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Recruitment status, easiest to join first

Recruiting now
This trial is taking on new participants right now.
Not yet recruiting This study
Registered, but not yet taking participants.
By invitation only
Not open to general applications. Only people the study team invites can take part.
Paused
Paused for now. It may or may not start again.
Ongoing
Running, but no longer taking on new participants.
Completed
The trial has finished. Results may not be published yet.
Stopped early
Stopped early, before it reached the end. That can be for many reasons, including safety.
Cancelled
Cancelled before anyone took part.

Expanded access (not trials)

Expanded access
Not a trial. This treatment can be requested outside a study, case by case, for people who qualify.
Expanded access (paused)
Not a trial. The treatment can normally be requested outside a study, but is unavailable right now.
Expanded access (ended)
Not a trial. The treatment could once be requested outside a study, but no longer can.
Approved
The treatment has been approved, so it is available normally rather than through this programme.

When the status isn't known

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Status unknown
This status has not been confirmed recently, so it may be out of date.

First seen Aug 26, 2026 · Last updated Sep 02, 2026 · Updated 3 times

Summary

This trial investigates whether a shorter course of the antifungal drug caspofungin is as effective as the standard 14-day treatment for uncomplicated candidemia, a bloodstream infection caused by Candida yeast. Adults with this infection will be randomly assigned to receive either 10 or 14 days of treatment, and researchers will compare the rates of infection recurrence. The goal is to see if shorter treatment can reduce side effects, drug resistance, and costs without compromising patient outcomes.

What this could mean

Our plain-language read of the trial. This is informational only, not medical advice or a prediction.

Active substance
caspofungin
What this could lead to
If successful, this could show that a shorter course of antifungal treatment is just as effective, reducing side effects, drug resistance, and healthcare costs.
What could go wrong
This is a phase 4 trial, but the outcome is not guaranteed. Shorter treatment might not be as effective for everyone, and there is a risk of recurrent infection.

This is an AI summary of the original study and may miss details. Read our disclaimer.

Study facts

What this study's own registry entry says, in plain language.

Phase

Phase 4

Runs after approval, following long-term safety and how well the treatment works in everyday use.

Participants

About 420 people

The number the study aims to enrol. It can still change while the study runs.

Expected to start

Sep 2026

An estimate. Start dates often move.

Expected to finish

Feb 2028

An estimate. End dates often move.

Lead sponsor

Other sponsor

The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.

Who can take part

This study's own entry requirements. Only the study team can say for certain whether you qualify.

Ages

18 years and older

Sex

Anyone

Healthy volunteers

Not accepted

This study is not open to healthy volunteers. The entry requirements below say who it is open to.

Show the full entry requirements

Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.

Inclusion Criteria: * 1\. Participants ≥18 years on the day of informed consent. * 2\. Written informed consent by participant, according to applicable guidelines and laws. * 3\. For female participants of child-bearing potential only: willingness to practice highly effective contraception or abstinence for the duration of the trial, i.e. until 30 days after end of study treatment. Highly effective contraception methods include sterilization, combined estrogen and progestogen-containing hormonal contraception (oral, intravaginal, transdermal), progestogen-only hormonal contraception (oral, injectable, implantable), intrauterine device (IUD), intrauterine hormone-releasing system, bilateral tubal occlusion, vasectomized partner. In case of nausea, diarrhoea or vomiting, oral contraception cannot be used; a non-oral highly effective method of contraception must be used instead. * 4\. Treatment with caspofungin for candidemia, initially proven by Candida-positive blood culture. * 5\. Uncomplicated candidemia defined as follows: * a. 7 consecutive days of caspofungin treatment after documented clearance of candidemia, i.e. caspofungin treatment on Day -7 to Day -1 prior to study treatment. Documented clearance of candidemia is defined as first (since diagnosis of candidemia) Candida-negative blood-culture on Day -7 AND no Candida-positive blood cultures from Day -6 to Day -1. * b. Treatment is planned for another 7 days, i.e. for the entire duration of study treatment from Day 1 to Day 7. Please note there is no Day 0 in this study. Day -1 is directly followed by Day 1. * c. Less than 120 hours between the initial Candida-positive blood culture and the first Candida-negative blood-culture. * d. Source control for candidemia as follows: * Any central venous access device (e.g., central venous catheter, peripherally inserted central catheters, Shaldon catheters, Hickman and Broviac lines, or implanted port systems) must have been removed/replaced within 48 hours after the start of caspofungin treatment when candidemia was first diagnosed. * Any implantable cardiac electronic device, ventricular assist device, extracorporeal membrane oxygenation support system, or indwelling intravascular foreign body must have been removed/replaced within 48 hours after the start of caspofungin treatment when candidemia was first diagnosed. * Any intraabdominal candidiasis (e.g., intraabdominal abscess, peritonitis) must have been treated successfully within 5 days after start of treatment (caspofungin with or without surgery) when candidemia was first diagnosed. Exclusion Criteria: * 1\. Any Candida-positive blood culture within 7 days prior to the start of study treatment, i.e. on Day -7 to Day -1. * 2\. Complicated candidemia defined by any of the following: * a. History of candidemia within 3 months prior to the current candidemia episode. * b. History or current presence of extra-abdominal deep-seated candidiasis, i.e. central nervous system infection, chorioretinitis, endophthalmitis, intravascular infection, endocarditis, renal abscess, osteomyelitis, or joint infection. * c. History of intra-abdominal candidiasis within 3 months prior to the current candidemia episode. Only exception: a very first episode of intra-abdominal candidiasis has been treated successfully within 5 days after the initial diagnosis of the current candidemia episode. * d. Candidemia caused by echinocandin-resistant Candida isolate. * 3\. Hematological malignancy without remission. * 4\. Allogeneic hematopoietic stem-cell transplantation within 1 year prior to screening. * 5\. Acute graft-versus-host disease grade III or IV. * 6\. Hypersensitivity to caspofungin or any of the excipients. * 7\. Ongoing glucocorticosteroids ≥0.3 mg/kg of prednisone equivalent per day at the initial diagnosis of the current candidemia episode with a planned cumulative administration of more than 3 weeks or ongoing administration of more than three weeks. * 8\. Concomitant rifampin/rifampicin, phenytoin, carbamazepine, efavirenz or nevirapine during study participation. * 9\. Absolute neutrophil count \<0.5 G/L at screening. * 10\. Absolute neutrophil count \<0.5 G/L of any duration expected during study treatment. * 11\. Child-Pugh score \>9 at screening. * 12\. Pregnant women and breastfeeding mothers. Prior to enrolment, pregnancy must be ruled out by a negative blood pregnancy test for all women of child-bearing potential. * 13\. Active intravenous illicit drug use. * 14\. Administration of an investigational drug (i.e. not yet authorized) * a. Within 30 days before the first dose of study treatment in this trial OR * b. Within five half-lives before the first dose of study treatment in this trial whichever is longer. An investigational drug is defined as a drug not authorized for any indication in the country where this trial is conducted. * 15\. Previous participation in this trial. * 16\. Person who is in a relationship of dependence/employment with the Sponsor or the investigator.

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Conditions

The condition(s) this trial relates to.

As listed by the trial registrant

The condition terms exactly as the trial's registrant entered them.

How to take part

Only the study team decides who joins. These are the ways to reach them.

  1. The places running it

    24 sites. The list below names each one and where it is.

  2. The official record

    ClinicalTrials.gov lists the study team's own contact details, including names and phone numbers. We don't republish those.

    Open the record ↗

  3. A doctor treating you

    A doctor who knows your case can contact a study site on your behalf, and can tell you whether this study is worth pursuing at all.

Contacts and locations

Locations

  • Charité - Universitätsmedizin Berlin

    Berlin, 10117, Germany

  • Klinikum Oldenburg

    Oldenburg, 26133, Germany

  • Klinikum der Medizinischen Hochschule Hannover

    Hanover, 30625, Germany

  • Klinikum der Technischen Universität München (TUM Klinikum)

    München, 81675, Germany

  • LMU Klinikum

    München, 81377, Germany

  • Uniklinik Köln

    Cologne, 50937, Germany

  • Universitätsklinik Magdeburg A. ö. R. / Medizinische Fakultät der Otto-von Guericke Universität Magdeburg

    Magdeburg, 39120, Germany

  • Universitätsklinikum Aachen

    Aachen, 52074, Germany

  • Universitätsklinikum Carl Gustav Carus Dresden an der Technischen Universität Dresden

    Dresden, 01307, Germany

  • Universitätsklinikum Düsseldorf

    Düsseldorf, 40225, Germany

  • Universitätsklinikum Frankfurt

    Frankfurt am Main, 60590, Germany

  • Universitätsklinikum Freiburg

    Freiburg im Breisgau, 79110, Germany

  • Universitätsklinikum Gießen und Marburg

    Giessen, 35392, Germany

  • Universitätsklinikum Halle (Saale)

    Halle, 06120, Germany

  • Universitätsklinikum Hamburg-Eppendorf

    Hamburg, 20246, Germany

  • Universitätsklinikum Heidelberg

    Heidelberg, 69120, Germany

  • Universitätsklinikum Jena

    Jena, 07747, Germany

  • Universitätsklinikum Leipzig

    Leipzig, 04103, Germany

  • Universitätsklinikum Münster

    Münster, 48149, Germany

  • Universitätsklinikum Regensburg

    Regensburg, 93053, Germany

  • Universitätsklinikum Ulm

    Ulm, 89081, Germany

  • Universitätsklinikum Würzburg

    Würzburg, 97080, Germany

  • Universitätsklinikum des Saarlandes

    Homburg (Saar), 66421, Germany

  • Universitätsmedizin Göttingen

    Göttingen, 37075, Germany

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